WISE NL Professional Membership
Application or Renewal Form

  • Payment for professional membership is $25.
  • To save costs, we do not accept credit card payments. We request that you e-transfer payment to treasurer@wisenl.ca using “WISE NL membership” as the answer to the security question.
  • If you wish to pay by cash or cheque, do not used this form. Please download a paper application and submit as instructed in the form.
  • Please note: Your membership is not consider complete until payment of membership fees is received.

    Contact Information (*= Required)

    *First Name:

    *Last Name:

    *Email Address:

    *Phone Number:

    Address:

    City:

    Province:

    Postal Code:

    Membership Category (Required):

    New application or renewal?:

    About You

    If you are currently working,
    what is your Job Title?

    If you are currently working,
    what is the name of your Company?

    What is your area of work or study/major?

    Declarations (Required)
    For each item below, select "Yes" if you agree, "No" if you disagree.

    I understand and support the objectives of WISE NL.
    YesNo

    In accordance with the Canadian Ant-Spam Legislation (CASL), I grant permission to include my email address in the WISE NL email distribution list.
    YesNo

    I understand that WISE NL collects this information for the internal use of WISE NL only and will not share this information with third parties without expressed permission.
    YesNo

    Submit Application

    By submitting this form, you are granting: WISE NL, PO Box 23176, Churchill Square, St. John's, NL A1B 4J9, Canada, http://www.wisenl.ca; permission to email you.

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    Please remember: Your membership is not consider complete until payment of membership fees is received.